MERCED MRI MEDICAL GROUP (NPI# 1700821477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700821477 |
| Entity Type | Organization |
| Organization Name | MERCED MRI MEDICAL GROUP |
| Practice Address |
3365 G St Suite 100 Merced CA 95340-0964 |
| Practice Telephone | 2093842121 |
| Practice Fax Number | 2093844269 |
| Mailing Telephone | 2093842121 |
| Mailing Fax Number | 2093844269 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | AUDREY M DEMARS (PROJECT CONSULTANT) |
| Authorized Official Telephone | 7079389685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0041350 | 05 |
| Street Address |
3365 G ST SUITE 100 |
| City | MERCED |
| State | CA |
| Zip Code | 95340-0964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538300660 | Merced Faculty Associates Medical Group Incorporated | Clinic/Center | 3365 G St, Merced, CA 95340-0994 | 2009-03-19 |
| 1174552632 | Merced Faculty Associates Medical Group Incorporated | Clinic/Center | 3365 G St, Suite 101, Merced, CA 95340-0994 | 2006-06-30 |
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| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
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| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
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|---|---|---|---|---|
| 1316589765 | Somos Diagnostics, Inc. | Radiology | 1707 Eye St Ste 207, Bakersfield, CA 93301-5208 | 2019-10-16 |
| 1386295335 | Frunze Avoyan / 24 7 Care Diagnostic | Radiology | 401 N Brand Blvd Ste 336, Glendale, CA 91203-4427 | 2019-09-20 |
| 1548816531 | Bg Dx Inc | Radiology | 1750 N Beverly Glen Blvd, Los Angeles, CA 90077-2710 | 2019-08-14 |
| 1649825803 | Mia C Verbonitz | Radiology | 29450 Wooden Boat Dr, Menifee, CA 92585-9067 | 2019-08-05 |
| 1437702388 | Epic Mobil Ultrasound Imaging Inc | Radiology | 15417 Hart St, Van Nuys, CA 91406-5240 | 2019-07-19 |
| 1437618147 | Adventist Health Physicians Network | Radiology | 5125 Skyway Ste E, Paradise, CA 95969-5624 | 2019-03-13 |
| 1851870927 | Bahjat Helmi Alnajjar | Radiology | 5840 Santa Teresa Blvd, San Jose, CA 95123-4131 | 2018-08-09 |
| 1821589151 | Sirius Imaging Inc | Radiology | 14637 1/2 Titus St # B, Panorama City, CA 91402-4942 | 2018-05-22 |
| 1083102503 | Darnell M Nesbitt | Radiology | 1720 Florida St, Vallejo, CA 94590-5317 | 2018-04-30 |
| 1942798699 | Puja R Parikh | Radiology | 9043 Woodman Ave, Arleta, CA 91331-6404 | 2018-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.